Waste Disposal Request

Chemical Waste Disposal Request Form

This interactive form may be used to submit a request for a chemical waste pick-up. When you have completed entering your waste information, click on "submit pick-up request." Your request will be processed promptly and pick-up of your chemical waste should occur within 5 days. If there are any questions regarding your submittal, EHS will contact you.

(*) Denotes required information.

Researcher's Name:

Department:

* Email Address:

Contact Name:

Telephone:

Date:

Location of Waste:

Building:

Room Number:

Area:

Waste Information (do not use abbreviations, formulas, or brand names)

Number of Containers:

Chemical Description:

Container Type:

Container Size:

If you have any questions or comments regarding your chemical waste, please include them here: